THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: September 13, 2008 09:00 AM Saturday; Rod Welch

Millie 2nd Neupgogen at Kaiser for 4th cancer treatment 7th cycle UCSF

1...Summary/Objective
2...Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
3...Schedule Neupogen Treatments Extended through August
4...Exercise Hiking Maintain Fitness Strengthen Immune System


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CONTACTS 

SUBJECTS
Neupogen Side Effects Bone Pain Fatigue No Headache Suffered Today A

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 71 0000. ref SDS 70 0000.
150502 -
150503 -
150504 -
150505 -
150507 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS 71 9W9I, ref SDS 70 9W9I.
150904 -
150905 - Background on missing treatment at UCSF due to low blood counts, and
150906 - requirements for Neupogen are reported in the record on 080821.
150907 - ref SDS 61 ON5M   Case study on neutropenia reported in the record for
150908 - 080828 shows continuing need for Neupogen. ref SDS 65 8O7I
150910 -  ..
150911 - Toni was Millie's nurse today.  She gave Millie 2 injections required
150912 - for the 2nd Neupogen treatment prescribed this week...
150913 -
150914 -            Neupogen 480 mcg SQ on D2 3 3 carbo
150915 -
150916 - ...as shown in UCSF Chemotherapy Order on 080821, ref SDS 62 PWSY, and
150917 - ordered by primary care physician at Kaiser on 080609. ref SDS 34 L16I
150919 -  ..
150920 - Prior instructions describe Kaiser protocol calls for 480 mcg be given
150921 - with 2 injections, discussed on 080801 ref SDS 53 9W9I, and originally
150922 - presented by Laura on 080628. ref SDS 38 Q74G
150923 -
150924 -
150925 -
150926 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 71 WJ4O, ref SDS 70 WJ4O.
160405 -
160406 - Millie's schedule was last updated yesterday on 080905. ref SDS 69
160407 - SY8G
160409 -  ..
160410 - Toni changed the schedule Millie's Neupogen treatments after getting
160411 - chemotherapy at UCSF on Thursday, from morning times on Fridays to the
160412 - afternoon.  This complies with the protocol presented by Doctor Rugo's
160413 - guidance at UCSF on 080821 that Neupogen treatment should be given no
160414 - sooner than 24 hours after chemotherapy treatment. ref SDS 61 4B4L
160416 -  ..
160417 - Toni explained that Kaiser's computer system shows one of the Fridays
160418 - has no other times available.  She prepared a request for Cisi to
160419 - schedule Millie's Neupogen treatment to the afternoon on that date.
160420 - This aligns with Hazel's work on 080825 asking the Charge Nurse to
160421 - correct problems scheduling the work by intervening to change results
160422 - of automated computer algorithms. ref SDS 64 JQ3G
160423 -
160424 -
160425 -
160426 -
160427 -
1605 -

SUBJECTS
Default Null Subject Account for Blank Record

1703 -
170401 -  ..
170402 - Exercise Hiking Maintain Fitness Strengthen Immune System
170403 -
170404 - Follow up ref SDS 71 3E4K, ref SDS 70 3E4K.
170405 -
170406 - Millie went hiking at Lafayette Reservoir after treatment today, and
170407 - did 3 laps, about 8.25 miles.  She ran part way.  Her time was 43+
170408 - minutes per lap, i.e., 129 minutes total, which is again today much
170409 - better than any prior times for this distance.  She seems to be
170410 - increasing strength and fitness.
170412 -     ..
170413 -    Location             Miles  Minutes  Chemo  Neupo   Date
170414 -    ----------------------------------------------------------------
170415 -    Lafayette             8.25   129.7             x    080913, ref SDS 0 3E4K
170416 -    Lafayette             5.50    88.4             x    080912, ref SDS 71 3E4K
170417 -    Lafayette             2.75    46.8                  080909
170418 -    Lafayette             5.50    89.2                  080908
170419 -    Lafayette             5.50    92.1                  080907
170420 -    Lafayette             2.75    45.3             x    080906, ref SDS 70 3E4K
170421 -    Lafayette             2.75    56.8             x    080905, ref SDS 69 3E4K
170422 -    UCSF                                     c          080904, ref SDS 68 V94O
170423 -    Lafayette             8.25   140.4                  080903
170424 -    Lafayette             5.50    94.9                  080902
170425 -    Kaiser                                         x    080830
170426 -    Kaiser                                         x    080829
170427 -    UCSF                                     c          080828, ref SDS 65 V94O
170428 -    Lafayette             5.50    93.6                  080826
170429 -    Lafayette             5.50    93.2                  080825
170430 -    Lafayette             5.50    93.2             x    080823
170431 -    Lafayette             8.25   142.5             x    080822, ref SDS 63 3E4K
170432 -    UCSF                                     e          080821, ref SDS 62 V94O
170433 -    Lafayette             5.50    94.7                  080820
170434 -    Lafayette             5.50    94.3                  080819
170435 -    Lafayette             8.25   141.7                  080815
170436 -    UCSF                                     e          080814, ref SDS 60 V94O
170437 -    Lafayette             5.50    93.8                  080813
170438 -    Lafayette             5.50    94.4                  080812
170439 -    Lafayette             5.50    94.2                  080810
170440 -    Lafayette             8.25   143.6             x    080809, ref SDS 58 3E4K
170441 -    Lafayette             8.25   141.1             x    080808, ref SDS 57 3E4K
170442 -    UCSF                                     c          080807, ref SDS 56 V94O
170443 -    Lafayette             8.25   143.7                  080805
170444 -    Concord               7.00   127.6                  080804
170445 -    Lafayette             8.25   143.2                  080802
170446 -    Lafayette             5.50    93.4                  080801
170447 -    Lafayette             5.50    92.2                  080729
170448 -    Lafayette             5.50    92.6                  080728
170449 -    Lafayette             8.25   142.6                  080727
170450 -    Lafayette             5.50    91.5                  080726
170451 -    Lafayette             8.25   140.8                  080725
170452 -    Lafayette             5.50    91.8                  080723
170453 -    Lafayette             5.50    91.3                  080722
170454 -    Lafayette             8.25   143.3                  080720
170455 -    Lafayette             5.50    90.7                  080719
170456 -    Lafayette             5.50    92.4                  080716
170457 -    Lafayette             2.25    46.8                  080715
170458 -    Lafayette             8.25   141.8                  080712
170459 -    Lafayette             5.50    92.9                  080711
170460 -    Lafayette             8.25   143.3                  080704
170461 -    Lafayette             5.50    90.2                  080630
170462 -    Lafayette             8.25   142.4                  080628
170463 -    Lafayette             5.50    91.4                  080625
170464 -    Lafayette             2.25    47.9                  080623
170465 -    Lafayette             5.50    94.2                  080622
170466 -    Lafayette             5.50    94.7                  080621
170467 -    Lafayette             2.25    48.3                  080620
170468 -    Mt Diablo             7.00   129.4                  080616
170469 -    Lafayette             5.50    90.8                  080615
170470 -    Lafayette             5.50    91.3                  080614
170471 -    Lafayette             5.50    89.7                  080613
170472 -    Lafayette             2.76    45.8                  080611
170473 -    Lafayette             5.50    90.5                  080609
170474 -    Lafayette             5.50    92.7                  080607
170475 -    Lafayette             5.50    94.2                  080602
170476 -
170477 -
170478 -
170479 -
170480 -
170481 -
1705 -